Long term care leaders struggle with low reimbursement and excessive regulatory demand. One such regulation is the administration of vaccinations. A facility's overall performance is influenced partially by whether any of three different vaccinations were provided to residents. These three vaccinations are a few of several independent quality indicators on which a facility's star rating is based. With the infection preventionist coordinating the vaccination process in collaboration with individual nurse managers, our facility has been able to simultaneously improve quality scores, protect our residents, and capture all potential revenues. In turn our infection prevention program is revenue generating.